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Alternative Learning Methods Structured On-the-Job Training
(September 2003)

Structured OJT (also referred to as site-based or clinic-based training) is a form of self-paced learning that allows the individual requiring training to acquire the necessary knowledge and develop the required skills while on the job. It must include all four of the critical training elements:

  • Transfer of knowledge 
  • Skill acquisition and practice 
  • Coaching by an experienced provider 
  • Assessment of performance in providing services (application of knowledge and skills)

Although OJT programs may exist in several formats, many characteristics are common to all OJT programs. OJT courses have the following advantages and limitations:

Advantages

  • Participants can be trained immediately without waiting for a scheduled course. 
  • The problem of inappropriate participant selection (e.g., inclusion of an individual in a course for political reasons, selection of a participant who is not interested in training) is avoided. 
  • Clinic personnel who are proficient healthcare providers and trainers control the quality of the training experience. 
  • Training is designed to meet local needs. 
  • It is easier to obtain the client caseload needed for participants to reach competency. 
  • Once installed, it may be more sustainable than traditional group-based training because it has been integrated into the work of the clinical site. 
  • It is less expensive than group-based training.

Limitations

  • There are fewer opportunities for interaction with other people than in a group-based course. 
  • Limited reading abilities of the participants often create problems. 
  • There is the tendency to "see one, do one, teach one" instead of following the steps in the OJT program. 
  • There may be a tendency for participants to work with clients instead of anatomic models during the early phases when their skills are weak. 
  • OJT trainers may not be provided with enough resources to conduct training adequately (i.e., sending them a packet of materials may not be sufficient). 
  • Maintaining quality at a national level can be difficult.

For more information about alternative learning methods, contact Rick Sullivan at repro@jhpiego.net 

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Last Updated: 09 Jul 2003

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